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SHANGHAI — China has sent the military and thousands of health care workers into Shanghai to help carry out Covid-19 tests for all of its 26 million residents as cases continued to rise on Monday, in one of the country’s biggest-ever public health responses.

Some residents woke up before dawn for white-suited health care workers to swab their throats as part of nucleic acid testing at their housing compounds, many lining up in their pajamas and standing the required six feet apart.

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The People’s Liberation Army (PLA) on Sunday dispatched more than 2,000 medical personnel from across the army, navy and joint logistics support forces to Shanghai, an armed forces newspaper reported.

More than 10,000 health care workers from around the country have arrived in Shanghai, according to state media reports, which showed them arriving, suitcase-laden and masked up, by high-speed rail and aircraft.

It is China’s largest public health response since it tackled the initial Covid-19 outbreak in Wuhan, where the novel coronavirus was first discovered in late 2019. The State Council said the PLA dispatched more than 4,000 medical personnel to the province of Hubei, where Wuhan is, at that time.

Shanghai, which began a two-stage lockdown on March 28 that has been expanded to confine practically all residents to their homes, reported 8,581 asymptomatic Covid-19 cases and 425 symptomatic cases for April 3. It also asked residents to self-test on Sunday.

Although the outbreak is small by global standards, the city has emerged as a test of China’s elimination strategy based on testing, tracing and quarantining all positive cases and their close contacts.

The exercise in China’s most populous city takes place on the eve of when Shanghai initially said it planned to lift the city’s lockdown.

The country has 12,400 institutions capable of processing tests from as many as 900 million people a day, a senior Chinese health official was reported as saying last month.

China primarily uses pool testing, a process in which up to 20 swab samples are mixed together for more rapid processing.

Image: COVID-19 outbreak in Shanghai
Residents line up for nucleic acid testing in Shanghai on Monday. Aly Song / Reuters

The surge in state support for Shanghai comes as the city is straining under the demands of the country’s “dynamic clearance” strategy, with residents complaining of crowded and unsanitary central quarantine centers, as well as difficulties in securing food and essential medical help.

Some have begun to question the policies, asking why Covid-positive children are separated from their parents and why mild or asymptomatic infections — the majority of Shanghai’s cases — cannot isolate at home.

On Monday, Shanghai official Wu Qianyu told a news conference that children could be accompanied by their parents if the parents were also infected, but separated if they were not, adding that policies were still being refined.

The pressure on the city’s health care workers and Communist Party members has also been great, as they work around the clock to manage the city’s lockdown and deal with residents’ frustrations.

Photos and videos have gone viral on Chinese social media of exhausted workers and volunteers sleeping in plastic chairs or on the grass outside housing compounds, or being berated by residents.

Chinese President Xi Jinping has urged the country to curb the momentum of the outbreak as soon as possible while sticking to the “dynamic-clearance” policy. On Saturday, Vice Premier Sun Chunlan, who was sent to Shanghai by the central government, urged the city to “make resolute and swift moves” to curb the pandemic.

Source: This post first appeared on NBC News

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